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REDUCTION OF POSTOPERATIVE COMPLICATIONS IN CATARACT OPERATIONS WITH CORNEOSCLERAL SUTURES

1939; American Medical Association; Volume: 21; Issue: 6 Linguagem: Inglês

10.1001/archopht.1939.00860060076003

1538-3601

Vernon M. Leech, H. Saul Sugar,

Traumatic Ocular and Foreign Body Injuries

Ever since Williams, 1 who is generally credited with being the first to advocate the use of conjunctival sutures in cataract extractions, published his paper on this subject in 1869 there have been many advocates of various types of sutures. Among the earliest of these one finds such well known names as H. Knapp, 2 Kalt, 3 Czermak, 4 Vacher 5 and Schweiger 6 and, more recently, Verhoeff, 7 O'Connor 8 and many others. Excellent reviews of the literature on this subject were published by Wolfe and McLeod, 9 Spratt, 10 Ellett 11 and others. Ellett favored Kalt's corneoscleral suture, although he mentioned that "the added wound, though small, introduces an added risk of irritation and infection." Recently the popularity of suturing cataract wounds has increased rapidly, but there are still a good many operators who are content to leave conjunctival flaps unsutured. A surgeon is usually desirous of having